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Nursing NCC-NNP Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Professional Issues3%- Quality improvement and patient safety
  • 1. Healthcare quality management
- Evidence-based practice
  • 1. Clinical research application
- Legal and ethical principles
  • 1. Professional responsibility
Topic 2: Pharmacology9%- Common drug therapies
  • 1. Medication administration
- Pharmacokinetics and pharmacodynamics
  • 1. Drug metabolism in neonates
- Drugs and breastfeeding
  • 1. Medication safety
Topic 3: Embryology, Physiology, Pathophysiology and Systems Management54%- Respiratory
  • 1. Respiratory distress and ventilation
- Cardiac
  • 1. Congenital and acquired cardiac disorders
- Gastrointestinal
  • 1. Digestive system disorders
- Eyes, ears, nose, mouth and throat
  • 1. Sensory and airway conditions
- Integumentary
  • 1. Skin conditions
- Neurological
  • 1. Neurological disorders
- Metabolic and endocrine
  • 1. Metabolic regulation
- Renal and genitourinary
  • 1. Kidney and urinary conditions
- Musculoskeletal
  • 1. Bone and muscle disorders
- Genetics
  • 1. Genetic syndromes
- Hematopoietic
  • 1. Blood disorders
- Infectious diseases
  • 1. Neonatal infections
Topic 4: General Assessment15%- Family integration
  • 1. Parent communication
  • 2. Family-centered care
- Discharge planning and follow-up care
  • 1. Care transition
  • 2. Post-discharge monitoring
- Neonatal assessment
  • 1. Physical examination
  • 2. Gestational age evaluation
- Maternal history affecting the newborn
  • 1. Prenatal and perinatal factors
  • 2. Risk assessment
Topic 5: General Management19%- Growth and nutrition
  • 1. Nutritional management
- Resuscitation and stabilization
  • 1. Emergency neonatal care
- Thermoregulation
  • 1. Temperature stabilization
- Fluids and electrolytes
  • 1. Fluid balance management

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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q129-Q134):

NEW QUESTION # 129
If a patient's membranes rupture and meconium-stained amniotic fluid is noted, the next step should be

Answer: C

Explanation:
While previous standards advised for immediate Cesarean in the context of meconium-stained amniotic fluid, this is no longer advised. Instead, the fetus should be closely monitored for signs of distress and the appropriate team should be present at the birth of the neonate due to risks for respiratory distress secondary to aspiration. These neonates should not be routinely suctioned and/or intubated unless they are nonvigorous and do not respond to noninvasive interventions.


NEW QUESTION # 130
What is the purpose for CCHD screening in newborns?

Answer: C

Explanation:
The CCHD screening identifies those infants who may have a critical congenital heart defect that requires early surgical intervention. This screening is performed using pulse oximetry in the newborn nursery to measure the oxygen saturation in the blood of infants. This screening decreases the risk of overlooking a critical congenital heart defect that may require early intervention.


NEW QUESTION # 131
The electrolytes that are of primary concern in the neonate are

Answer: C

Explanation:


NEW QUESTION # 132
A neonate suffered perinatal asphyxia and developed moderate hypoxic ischemic encephalopathy (HIE) with neurological dysfunction. The treatment that is LEAST likely to be utilized to treat this condition is

Answer: C

Explanation:
With advancing implementation of therapeutic hypothermia, this method oftreatment has become the first line approach in treating moderate to severe HIE with the target temperature dependent upon the severity of the encephalopathy. Additional treatments include phenobarbital for seizures treatment and/or prevention. Fluid resuscitation is not indicated in HIE; in fact it is common to apply a fluid restriction to a neonate with HIE to control additional swelling. HIE results when oxygen supply to the brain is impaired. HIE is classified as mild, moderate, or severe, depending on the degree of ischemia and symptoms. Mild HIE usually resolves in 3-4 days and moderate HIE in 1-2 weeks, but permanent brain damage can occur with severe HIE.


NEW QUESTION # 133
With which genetic condition is the NP likely to see an atrioventricular septal defect, or a ventricular septal defect in less severe cases?

Answer: A

Explanation:
Approximately one-half of all children born with Down syndrome have a heart defect. The most common type of heart defect in these children is an atrioventricular septal defect, or a ventricular septal defect in less severe cases. This occurs when the septum betv:een either the atria and ventricles, or just the ventricles, is not fully formed. This allows oxygenated blood and deoxygenated blood to mix, which can cause the heart to work harder to transport oxygenated blood throughout the body.


NEW QUESTION # 134
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